Judith was seen today following her diagnostic sleep study. This went well and did not reveal any significant sleep disordered breathing or any periodic limb movement sequences. She has made some progress with some of the sleep hygiene strategies that we had discussed, particularly avoiding caffeine 6-8 hours out from bedtime and avoiding daytime naps. This has helped resolve her sleep onset issues and she is now going to bed at 9.00pm, falling asleep easily but is waking up at between 12.00am and 1.00am. She will then listen to music until she falls back asleep until about 6.00am. Moving forward, we have therefore discussed some mild sleep restriction and avoid falling asleep with the music on and also not spending time awake in bed.
There is quite a singificant psychological component here with some psychophysiological insomnia related to his underlying anxiety. Moving forward, treatment of this will be of paramount importance. Alongside this, there are some sleep hygiene strategies that he can work on and we have discussed these in detail and I have given him some written information for this. Alongside this, we have also started discussion about a sleep study to assess whether or not there is any other underlying sleep disorder that could be contributing to his sleep difficulties and also his unrefreshing sleep even on nights when he is sleeping
I have caught up with Debbie following the repeat diagnostic sleep study. This has revealed moderate obstructive sleep apnoea with an apnoea/hypopnoea index of 22 events/hr. There was modest oxygen desaturation and mild snoring. The events themselves were largely hypopnoeas with very few apnoeas.
The parents will monitor the child’s sleep habit at home and report back to the doctors the results. The parents will be given the option to place the child on medication due to the recent injury. The child will undergo an at home sleep monitoring study to see if there is more activity than what appeared at the hospital in the previous segment. Footage will reveal the parents taking shifts to monitor the child during the night to avoid injury and danger. The parents and the child will take about their fears of the possible dangers. Not only will the child be exhausted, but the parents, and siblings as well. The sibling will talk about the sounds the sibling would make during their sleepwalking actions.
With respect to her sleep, she typically falls asleep within 30 minutes of retiring for bed and does use lorazepam nightly as a sleep aid. She wakes one to two times a night and has difficulty falling back to sleep due to pain in her lower back and shoulders as well as ruminating thoughts. Currently, she obtains 5 to 6 hours of
According to Rosen (2014), a patient by the name of W, is an undocumented resident sophomore in high-school who suffers from obstructive sleep apnea. Due to his current illness W suffers from high blood pressure and is unable to concentrate in school and is often observed sleeping in class due to lack of night time sleep. A sleep study was conducted on W, which revealed that he stopped breathing an average of once every ninety seconds, which caused his oxygen level to decline and his carbon dioxide levels to increase.
Tom is described by his mother to be a sound sleeper for the first 3 hours and usually falls asleep around 8PM watching television in her room. His father then transfers him to his own bed. However, between the hours of 12AM and 3AM Tom usually wakes up to use the bathroom on occasion he wets the bed. Some nights he experiences sleep talking as well as sleep walking and on those days he has a difficult time waking up at 8AM to get ready for
With regards to her current sleep time, she will read quite late and fall asleep easily at about 1.00am. She sleeps very solidly until 8.00-8.30am and wake unrefreshed. She has excessive daytime sleepiness throughtout the day with an Epworth Sleepiness Score of 16/24 and will find that she is asleep most of the day if she is not active. Of note, she is not drowsy whilst driving.
I believe the main reason why patient RS has impairments in his past memories and can only hold on a few significant ones are due his insomnia in the past. Due to his lack of sleep, he has problem consolidating his memory. Memories are strengthened and consolidated during sleep in the first stage. Then, during the second stage, declarative memories are integrated and assimilated into memory networks (Stickgold and Walter 2005). Furthermore, the first stage is preferably the SWS sleep while the second stage is preferably the REM stage (2005). I suspect that RS might used to have more declarative memories and semantic memories from his childhood, college days and early married life. However, since his failure to consolidate his memories, his
She loathes the idea of getting into routine of taking a nap during day. She feels if she gets into the pattern, there might be days where she will be outside and can’t function at all because of the set routine of nap time. With the issue, also she is not completely housebound, but when she goes outside it is harder to sleep because of increased pain from arthritis. Since it’s hard for her to climb stairs she doesn’t sleep in her bedroom.
If correcting the sleep hygiene doesn’t work than the doctor may recommend either bright light therapy, chronotherapy, or a prescription of melatonin. Chronotherapy is when the patient tries to change their bedtime by forcing themselves to stay awake a little longer every night. As for bright light therapy, this can be done with either a special lighted lamp or other light products designed for circadian rhythm disorders. This therapy is usually done before going to bed at night to “reset” the internal clock. The sleep health foundation website says, “You may need an hour or two of bright light therapy before bed. Some will benefit from nightly use for a week. Others will need longer, sometimes several weeks, to get maximum benefit. It is best used late in the evening, perhaps turning the bright light device off half an hour before bed.” Light therapy is often used in conjunction with melatonin. Melatonin is one of the main chemicals our brain releases to aid in the process of sleep. This natural sleep aid is sold in liquid or pill form in most grocery stores or pharmacies. After the patient visits with the doctor, the provider will be able to tell the patient a recommended dose of
Have you ever considered the importance of sleep and the impact it can have on your health? It is likely that most of us have experienced trouble sleeping at some point in our lives. This is typical and usually lasts for a short period of time due to stress or other various factors. However, if it becomes a regular occurrence then perhaps you may be suffering from some type of sleeping disorder. Sleep disorders can be detrimental to one’s physical and mental health disrupting the actions of your daily life.
She goes to bed at 10:30p.m., it takes her 10 to 15 minutes to fall asleep, and she usually spends about seven hours asleep as she gets up at 6:00a.m. because she enjoys being a morning person. About once a week she has trouble sleeping or she wakes up in the middle of the night. She normally doesn’t use the bathroom in the middle of the night. A sleep apnea machine helps her breathe at night and also prevents her from snoring. The machine sometimes leaks air, which occasionally wakes her up, but not very often. She throws the covers on and off throughout the night because she gets cold or experiences hot flashes; it’s so automatic that she doesn’t even notice it anymore. She rarely has bad dreams; she recently got an epidural for hip and back pain because it occasionally woke her up at night. She takes Tylenol P.M. and melatonin at night to help her sleep.
Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,
Sleep disorders have always surrounded me through family and friends. though I never suffered with any sort of sleeping disorder, I was well aware of how unnerving it can be toothless who suffer from it. I did not know all of the different types there were, and was intrigued when reading chapter three of my psychology book. I had assumed that nigh terrors, which I used to think were the same as nightmares, were over exaggerations of a person’s scary dream. Sleepwalking also held interesting facts that I didn’t know prior. Having a best friend who occasionally sleepwalks, I was always interested in why she would seldom remember both walking and talking. I also appreciated learning about sleep apnea because my father used to struggle with it and would worry my mom about his breathing when he was asleep.
At first, just trying to find a time for me to go to sleep was a real pain to figure. Due to the fact that I sometimes stay up past midnight most of the time but we eventually made it work out. If there is one thing that I could have change during this it would be taking naps. I understand sleep is very important but so is taking naps. Naps are similar to full deep sleep but just less powerful. Naps regenerate your body at a smaller time frame than REM sleep